NPI 1770091506 · live from the CMS NPI Registry
Agility Spine & Sports Physical Therapy And Rehabilitation Lp
Physical Therapist in Tucson, AZ. National Provider Identifier 1770091506, active.
NPI record
| NPI | 1770091506 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 7355 S Houghton Rd Ste 109, Tucson, AZ 85747 |
| Practice phone | 520-664-9100 |
| Mailing address | 1777 W Saint Marys Rd, Tucson, AZ 85745 |
| Enumerated | January 15, 2018 |
| Last updated | January 15, 2018 |
| Authorized official | Richard Binstein, Vp/Authorized Official |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | — |
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.